Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A132744 | CA |
N | 111NI0900X | Internist | A132744 | CA |
NPI | 1003159062 |
---|---|
Provider Name | Andrea Lorenze |
First Address | Stanford, CA 94305-5133 |
Second Address | Stanford, CA 94305-5133 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2013 |
Last Update Date | 09/01/2018 |